{template "nheader.html"}
<script type="text/javascript">
    $(function(){
        {if $result_error}dr_tips("{$result_error}", 3);{/if}
    });
</script>
<form action="" method="post" class="form-horizontal" novalidate>
    <div class="form-body">
        <div class="form-group">
            <label class="col-md-2 control-label">充值金额：</label>
            <div class="col-md-3">
                <div class="input-icon ">
                    <i class="fa fa-rmb"></i>
                    <input type="text" class="form-control" value="{$money}" name="money" placeholder="充值金额">
                </div>
            </div>
        </div>
        <div class="form-group">
            <label class="col-md-2 control-label"></label>
            <div class="col-md-10">
                <div class="radio-list">
                    {loop $list $name $t}
                    <p>
                        <label>
                            <input class="dr_pay_select" name="pay" type="radio" {if $name==$pay} checked="checked"{/if} value="{$name}" />
                            <img alt="{$t.name}" title="{$t.name}" src="{SITE_PC}api/pay/{$name}/logo.png" width="100" height="35" />
                        </label>
                    </p>
                    {/loop}
                </div>
            </div>
        </div>
    </div>

    <div class="form-actions">
        <div class="row">
            <div class="col-md-offset-2 col-md-3">
                <button type="submit" class="mysubmit btn green btn-block">充值付款</button>
            </div>
        </div>
    </div>

</form>

{template "nfooter.html"}